Retailer Portal Registration Form

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Retailer Portal Registration Form

Please fill out the following information in order to process your Retailer Portal account registration.

**FOR THE USE OF STATE ALCOHOLIC BEVERAGE RETAIL LICENSE HOLDERS ONLY**

Please Note: If you would like to report more than 5 account locations, please contact us at: orders.knife@lknife.com.

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* Required

Do you have an existing account with L. Knife & Son? *

Yes

@

First Name *

Your answer

Last Name *

Your answer

Email *

Your answer

Phone number *

Your answer

Sales Representative's Name

(If you already have an account with L. Knife & Son. Leave blank if unknown.)

Your answer

Does your account operate on a seasonal basis? *

Yes

No

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